Registration Deadline October 25, 2000
Advanced Registration Required
Fee: $25.00 (UIC Faculty & Staff)
$15.00 (Full-time Students)
$30.00 (Community Members)
Payment must accompany form
Name:___________________________________________
Department:___________________________________________
Mail Code: _____________
Phone:_________________________________
E-mail address: ___________________________________________
Payment Method (check one):
____University voucher ____Check (payable to UIC)
Registration fees are non-refundable after October 25.Return Registration Form to
Office of Women's Affairs (M/C 363)
802, University Hall
Workshop Choices
Please indicate your first and second choices for each of the concurrent sessions
Morning Concurrent Workshops: 10:00 a.m.-12:00 noon
1. Skills of PowerMy first choice:___________________________________________
My second choice:___________________________________________
Afternoon Concurrent Workshops 1:30 p.m.-3:30 p.m.
1. Systemic LeadershipMy first choice:___________________________________________
My second choice:___________________________________________
Mini Sessions 4:00 p.m.-5:00 p.m.
1. Women of PurposeMy first choice:___________________________________________
My second choice:___________________________________________
Voluntary Information to Enhance Future Programming:
____Faculty ____Academic Professional
____Staff ____Support Staff ____Other:__________________
____African American ____Caucasian
____American Indian/Native Alaskan ____Latina
____Asian/Pacific Islander ____Other:__________________